58 cpc certified professional coder jobs found in Raleigh, NC

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

Universal Health Services is seeking a Health Information Coder to ensure accurate ICD-10 coding and support the Health Information Services department. You will assemble medical records, perform clerical tasks, and maintain compliant documentation under HIPAA guidelines. The role requires knowledge of ICD-10-CM, AHA coding guidelines, and attention to detail, with certification preferred. On-site position in Raleigh, NC offering professional growth within Health Information Management. #J-18808-Ljbffr

Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin Salary: up to $40/hr. with experience Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as necessary Re-bills rejected...

DaMar Staffing is seeking a qualified medical coder to prepare and submit clean electronic and paper claims, assigning CPT, ICD-9 and ICD-10 codes to support accurate billing for each patient encounter. The role requires CPC certification and a high school diploma or GED, plus experience with EMR and billing systems, HIPAA compliance, and strong attention to detail. Typical hours are 8:00–5:00, Mon–Fri, on-site in North Carolina area offices. #J-18808-Ljbffr

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...

WakeMed Health & Hospitals seeks an experienced Inpatient Coder Sr to join the coding team. The role emphasizes accurate DRG assignment and ICD-10 coding, supporting reimbursement and data integrity across patient records. The Sr coder collaborates with the CDS team and reviews SMART accounts daily, with eligible remote states including NC, FL, GA, SC, SD, TN, TX and VA, enabling flexible work arrangements where permitted. #J-18808-Ljbffr

RCS Medical Coding Auditor The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback. The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights. Key Responsibilities Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback Validate ICD?10?CM, CPT, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines Conduct medical chart audits of professional services across multiple specialties Identify...

Overview The Coder I, Inpatient is responsible for coding inpatient accounts less than $15,000 and any outpatient accounts, provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinic and Official Coding Guidelines. Groups discharges utilizing the 3M encoder selecting the appropriate DRG for reimbursement. Communicates with physicians and clinical staff regarding coding and documentation issues. **Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.** Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org . EOE Licensure Registered Health Information...

Universal Health Services, Inc. seeks a qualified Health Information Specialist to code inpatient charts using ICD-10-CM and follow AHIMA guidelines. You will support the Health Information Services Department and help maintain accurate medical records across our facilities. The ideal candidate has a High School Diploma or equivalent (Associates preferred), AHIMA certification eligibility or active credentials, and at least one year of inpatient coding experience. #J-18808-Ljbffr

Universal Health Services, Inc. in Raleigh, NC seeks a qualified Health Information Coder to join our hospital coding team. The role focuses on accurate ICD-10-CM coding and chart review within our Health Information Services department. You will collaborate with clinical and coding staff to ensure timely, compliant documentation and data integrity while maintaining HIPAA standards and professional conduct. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Responsibilities One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune, in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. EEO Statement All UHS subsidiaries are committed to...

Overview Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned. **Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.** Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Licensure Registered Health...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

WakeMed Health & Hospitals is seeking an experienced inpatient coder who will serve as the senior member of the corporate coding team. You will provide timely and accurate ICD-10-CM and ICD-10-PCS coding for reimbursement and statistical purposes, and act as a liaison between coders and the CDS team on documentation issues. The role requires 5 years of inpatient coding experience and DRG analysis, with an Associate’s in HIM (Bachelor’s preferred). #J-18808-Ljbffr

Crossroads Treatment Centers is seeking a Medical Coder to assign ICD-10-CM and CPT/HCPCS codes for outpatient MAT services. You will review clinical documentation, ensure accurate coding, and maintain compliance with payer rules and HIPAA. Minimum 2 years of medical coding experience with emphasis in Evaluation and Management, CPC or CCS-P certification preferred. Remote options may be available in some roles. #J-18808-Ljbffr

Coder II, InpatientThe Coder II, Inpatient is responsible for coding inpatient accounts with a balance less than $90,000 including Rehab and accounts that fall into the Inpatient Coder I category, performs the functions of coding, DRG assignment, collection of predefined indicators and abstracting medical records with a case mix greater than 1.5, provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinic and Official Coding Guidelines. Groups discharges utilizing the 3M encoder selecting the appropriate DRG for reimbursement. Communicates with physicians and clinical staff regarding coding and documentation issues.**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and...

Affiliated Podiatrists in Raleigh, NC is seeking a Regional Coding Specialist to carefully review charge tickets, patient charts, and supporting documentation to ensure codes are accurate, complete, and properly sequenced according to government regulations and payer requirements. You will assign missing CPT, HCPCS, ICD-10-CM codes, follow up with physicians on unclear documentation, and maintain coding records while meeting daily production and quality standards. #J-18808-Ljbffr

Overview Make a Difference. Grow in Your Career. Thrive with Us. About the Role At Mindpath Health , we’re on a mission to make mental health care more accessible and more human. As a national leader in mental health services, we empower our clinicians, support our teams, and prioritize care that helps people truly thrive. The Certified Professional Coder (CPC) is responsible for performing professional coding services for theRCM Team, while following AMA and CMS medical coding guidelines . The primary function of thisposition is to utilize CPT, ICD-10-CM, HCPCS and coding guidelines to ensure accurate coding asrelates to medical documentation. A Certified Professional Coder will provide research and assist inresolving rejections, denials, and any coding/carrier related inquiries. This role reviews, analyzes, andcodes diagnostic and procedural information that determines Medicare, Medicaid, and private insurancepayments. The Certified Professional Coder must work to remain up to...

Walkers Group Home in Concord, NC is seeking a meticulous Medical Biller/Coder to join our administrative team on-site. The role focuses on accurate billing, coding, and timely submission of claims to Medicaid, Medicare, and private payers. The ideal candidate will have 2+ years of medical billing and coding experience, familiarity with ICD-10/CPT/DRG coding, and knowledge of NC Medicaid billing and Tailored Care Management (TCM) requirements. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

A leading healthcare provider is seeking a skilled Medical Records Outpatient Coder III. This remote position requires expertise in coding for emergency, same day surgery, and observation cases. The ideal candidate has a CCS certification and 5 years of outpatient coding experience. Flexible shifts are available, with the role focusing on accurate code assignment and collaboration across teams. Join us in a dynamic healthcare environment that values teamwork and excellence. #J-18808-Ljbffr

Senior Coding SpecialistServes as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned.**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOERegistered Health Information Technician Required - Or Registered...